DERMATOLOGY INSTITUTE AND SKIN CANCER CENTER LLC (NPI# 1891319422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891319422 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY INSTITUTE AND SKIN CANCER CENTER LLC |
| Practice Address |
2783 Brownwood Blvd The Villages FL 32163 |
| Mailing Address |
5438 Emerald Bay Ln Lady Lake FL 32159-6062 |
| Practice Telephone | 3528347546 |
| Mailing Telephone | 7274528381 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | CHARLES KNAPP (CO-OWNER) |
| Authorized Official Telephone | 7274528381 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Dermatology Institute and Skin Cancer Center | Other Name - Individual/Organization |
| Street Address |
2783 BROWNWOOD BLVD |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023246527 | Charles F Knapp IIi | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2009-06-24 |
| 1134440365 | Brandon Max Markus | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164958773 | Peepers Eyecare Inc | Technician/Technologist | 2478 Burnsed Blvd #466a, The Villages, FL 32163 | 2017-05-03 |
| 1710334800 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 695 Kristine Way, The Villages, FL 32163 | 2016-05-18 |
| 1396168571 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2500 Burnsed Blvd, The Villages, FL 32163 | 2014-01-24 |
| 1508986035 | Robert Alan Harrison | Physical Therapist | 340 Heald Way Ste 100, The Villages, FL 32163 | 2007-03-29 |
| 1659318418 | Sue Allen Schueler | Nurse Practitioner | 2485 Pinellas Place, The Villages, FL 32163 | 2006-06-01 |
| 1740283761 | Thomas M Krizmanich | Orthopaedic Surgery | 2910 Brownwood Blvd., The Villages, FL 32163 | 2005-05-23 |
| 1336793561 | Tanya R Brown | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163 | 2019-07-25 |
| 1033762588 | St Luke's At The Villages Brownwood Pa | Ophthalmology | 2955 Brownwood Blvd, The Villages, FL 32163 | 2019-07-23 |
| 1053972893 | The Villages Surgery Center LLC | Clinic/Center | 2955 Brownwood Blvd, The Villages, FL 32163 | 2019-06-24 |
| 1902382526 | John David Chiaramonti | Optometrist | 2909 Traverse Trl, The Villages, FL 32163 | 2018-07-17 |
| Find all providers in zip 32163 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740703818 | Creekside Dermatology Pa | Dermatology | 8630 E County Road 466 Ste A, The Villages, FL 32162-5614 | 2017-07-20 |
| 1366823775 | Tarek S Shaath | Dermatology | 1040 Lake Sumter Lndg, The Villages, FL 32162-2697 | 2015-06-11 |
| 1518256932 | Sean Mazloom | Dermatology | 1050 Old Camp Rd Ste 150, The Villages, FL 32162-1723 | 2011-04-06 |
| 1023246527 | Charles F Knapp IIi | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2009-06-24 |
| 1164614004 | David John Casper | Dermatology | 8620a E County Road 466, The Villages, FL 32162-3670 | 2007-08-14 |
| 1891257655 | Orlando Dermatology Clinic, LLC | Dermatology | 1040 Lake Sumter Lndg, The Villages, FL 32162-2697 | 2019-04-02 |
| 1134440365 | Brandon Max Markus | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2010-06-22 |
| 1427180645 | Florida Dermatologic Surgery & Aesthetics Institute Pa | Dermatology | 11950 County Road 101, Suite 203, The Villages, FL 32162-9332 | 2007-03-12 |
| 1891805149 | Michelle Thomas Snider | Dermatology | 1950 Laurel Manor Dr, Suite 224, The Villages, FL 32162-5603 | 2006-08-30 |
| 1902811219 | Ashraf M Hassanein | Dermatology | 11950 County Road 101, Ste 203, The Villages, FL 32162-9332 | 2006-07-29 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32163 |
Please comment or provide details below to improve the information on DERMATOLOGY INSTITUTE AND SKIN CANCER CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.